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A 33-year old woman presented with moderate dyspnoea on exercise. Transthoracic echocardiogram showed two eccentric jets of severe aortic regurgitation (AR). The left ventricle (LV) was dilated with preserved function (end-diastolic dimension of 58 mm and ejection fraction of 65%). Transoesophageal echocardiogram was performed, and aortico-left ventricular tunnel (ALVT) was seen …

Aortico-left ventricular tunnel with uncommon origin